If you are using your health insurance for our services, our support staff will have already determined your deductible and co-pay before your first session. Your portion of the fee is due at the time of service. If you don’t have insurance coverage, the initial session fee is $180; regular 53 to 60 minute sessions are $150.  If your insurance considers us an “out of network” provider,  it is usually their policy to reimburse you directly. In these cases, clients typically pay their full fee at the time of service, after which we immediately bill your insurance company.  Fortunately, most insurance companies are still reimbursing for telehealth services.  In special circumstances, a sliding fee schedule can be arranged on a limited basis.